Drug ID:Drug26
Drug Name:Mesalazine
CID:4075
DrugBank ID:DB00244
Modality:Small Molecule
Groups:approved
US Approved:YES
Other Approved:YES
Identifier: NCT05992142, , NCT01532648, , NCT02665845, , NCT00603733, , NCT02683759, , NCT03804931, , NCT01320436, , NCT00984568, , NCT00167882, , NCT00713310, , NCT01004185, , NCT01903252, , NCT00151892, , NCT00349388, , NCT05753267, , NCT05781698, , NCT05988528, , NCT05567068, , NCT05986136, , NCT05119
Molecular Formula:C7H7NO3
Molecular Weight:153.14 g/mol
Isomeric SMILES:C1=CC(=C(C=C1N)C(=O)O)O
Synonyms:5-Aminosalicylic acid; mesalamine; Mesalazine; 89-57-6; 5-Amino-2-hydroxybenzoic acid; 5-ASA; m-Aminosalicylic acid; Lialda; Fisalamine; Apriso
Phase 0: 1
Phase 1: 39
Phase 2: 43
Phase 3: 94
Phase 4: 27
Description:An anti-inflammatory agent, structurally related to the salicylates, which is active in inflammatory bowel disease. It is considered to be the active moiety of sulphasalazine. (From Martindale, The Extra Pharmacopoeia, 30th ed)

Molecular Structure

2D Molecular Structure

Knowledge Graph

dtIDCIDCompound NameGene IDGene NameSpeciesPubMed IDsAction
dt238 4075 Mesalamine 3028 HSD17B10 Homo sapiens (human) None
dt239 4075 Mesalamine 2744 GLS Homo sapiens (human) None
dt240 4075 Mesalamine 3586 IL10 Homo sapiens (human) None
dt241 4075 Mesalamine 5743 PTGS2 Homo sapiens (human) Inhibitor
dt242 4075 Mesalamine 5742 PTGS1 Homo sapiens (human) Inhibitor
dt243 4075 Mesalamine 240 ALOX5 Homo sapiens (human) Inhibitor
dt244 4075 Mesalamine 5468 PPARG Homo sapiens (human) Agonist
dt245 4075 Mesalamine 1147 CHUK Homo sapiens (human) Inhibitor
dt246 4075 Mesalamine 3551 IKBKB Homo sapiens (human) Inhibitor
dt247 4075 Mesalamine 4843 NOS2 Homo sapiens (human) 17503181 Inhibitor

  • No data available

Phase Distribution
Phase Description
  • Phase 0: Exploratory trials to assess drug behavior in humans
  • Phase 1: Safety trials to determine safe dosage range
  • Phase 2: Efficacy trials to evaluate therapeutic effects
  • Phase 3: Large-scale trials to confirm efficacy and safety
  • Phase 4: Post-marketing surveillance for long-term safety and efficacy

Trial IDTitlePhaseStatusSponsorIndicationsInterventions
NCT02093663 Safety and Efficacy of MMX Mesalamine/Mesalazine in Pediatric Subjects With Mild to Moderate Ulcerative Colitis PHASE3 COMPLETED Shire Ulcerative Colitis DRUG: MMX Mesalamine/Mesalazine (Low Dose)|DRUG: … Details
NCT01011322 A Study to Investigate the Efficacy of LT-02 in Patients With Mesalazine Refractory Ulcerative Colitis PHASE2 UNKNOWN Lipid Therapeutics GmbH Ulcerative Colitis|Large Intestine|Diarrhea|Abdom… DRUG: LT-02|DRUG: placebo Details
NCT04133194 Adherence of a 1.600 mg Single Tablet 5-ASA Treatment of Ulcerative Colitis PHASE4 RECRUITING Flemming Bendtsen Ulcerative Colitis DRUG: Mesalazine|DRUG: Mesalazine Details
NCT01257386 Comparative Efficacy and Safety Study in Patients With Active Ulcerative Colitis PHASE3 COMPLETED Tillotts Pharma AG Active Ulcerative Colitis DRUG: Asacol|DRUG: Mesalazine Details
NCT06176560 Phase III Multicentre Trial of Oral Mesalazine in Patients With Mild to Moderate Ulcerative Colitis. PHASE3 NOT_YET_RECRUITING Faes Farma, S.A. Colitis, Ulcerative DRUG: Mesalazine Details
NCT00708656 The Colitis Once Daily Asacol Study PHASE3 COMPLETED Cardiff and Vale University Health Board Ulcerative Colitis DRUG: mesalazine (Asacol) Details
NCT00151944 Safety and Tolerability of SPD476 in Maintaining Remission in Patients With Ulcerative Colitis. PHASE3 COMPLETED Shire Colitis, Ulcerative DRUG: SPD476 (mesalazine) Details
NCT00747110 Budesonide Capsules Versus Mesalazine Granules in Active Ulcerative Colitis (UC) PHASE3 COMPLETED Dr. Falk Pharma GmbH Colitis, Ulcerative DRUG: budesonide|DRUG: mesalazine Details
NCT01257399 Comparative Efficacy and Safety Study in Patients With Ulcerative Colitis in Remission Phase PHASE3 COMPLETED Tillotts Pharma AG Ulcerative Colitis in Remission DRUG: Asacol|DRUG: Mesalazine Details
NCT05386290 A Multicentered Prospective Cohort Study of Chinese IBD Patients None UNKNOWN Peking Union Medical College Hospital Ulcerative Colitis|Crohn Disease DRUG: Infliximab|DRUG: Vedolizumab|DRUG: Ustekinu… Details
NCT01124149 Ability to Maintain or Achieve Clinical and Endoscopic Remission With MMX Mesalamine Once Daily in Adults With Ulcerative Colitis PHASE4 COMPLETED Shire Ulcerative Colitis DRUG: MMX mesalamine/ mesalazine Details
NCT00503243 Safety and Efficacy of SPD476 (Mesalazine) Given Twice Daily (2.4 g/Day) vs SPD476 Given as a Single Dose (4.8 g/Day) in Subjects With Acute Mild to Moderate Ulcerative Colitis PHASE3 COMPLETED Shire Colitis, Ulcerative DRUG: Delayed and extended release mesalazine Details
NCT00449722 OD vs. TID Dosing With Mesalazine Granules in Active Ulcerative Colitis PHASE3 COMPLETED Dr. Falk Pharma GmbH Ulcerative Colitis DRUG: mesalazine Details
NCT00737789 Mesalazine 4g Once Daily Versus 4g in Two Divided Doses in Active Ulcerative Colitis. PHASE3 COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: Mesalazine slow-release granules|DRUG: Mesa… Details
NCT02368717 An Efficacy and Safety Study of PENTASA in Chinese Patients With Left-sided Active Ulcerative Colitis Followed by a 24-Week Open-Label Extension Phase PHASE3 COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: Mesalazine Enema|DRUG: Placebo Enema Details
NCT00808977 A Phase II Study to Explore the Safety and Activity of Dersalazine in Patients With Mild to Moderate Ulcerative Colitis PHASE2 COMPLETED Palau Pharma S.L.U. Ulcerative Colitis DRUG: Dersalazine sodium|DRUG: Mesalazine|DRUG: P… Details
NCT02537210 Aminosalicylic Acid Withdrawal Study in Long Standing Inactive Ulcerative Colitis None COMPLETED Chinese University of Hong Kong Colitis, Ulcerative|Aminosalicylic Acid DRUG: Mesalazine|DRUG: Placebo oral capsule Details
NCT00545389 Phase II Dose-Ranging Study in Subjects With Mild to Moderate Ulcerative Colitis Treated With SPD476 PHASE2 COMPLETED Shire Colitis, Ulcerative DRUG: SPD476 is a polymeric matrix formulation th… Details
NCT02261636 Induction and Maintenance of Remission With Pentasa as Ulcerative Colitis Treatment None COMPLETED Ferring Pharmaceuticals Ulcerative Colitis DRUG: mesalazine Details
NCT03917095 The Safety and Efficacy of TET Enema in the Treatment of UC None UNKNOWN The Second Hospital of Nanjing Medical University Ulcerative Colitis Chronic Mild|Ulcerative Coliti… DEVICE: The Colonic Transendoscopic enteral Tubin… Details

Disease IDDisease NameDefinitionCategoryRelated DrugsMechanism
No data available

Strategy IDTherapeutic StrategySynonymsRelated DrugsMechanism
S01 Anti-inflammatory inflammatory 5-Aminosalicylates (5-ASAs); corticosteroids Crohn's disease and ulcerative colitis are the two main com… Details

High-dose mesalazine treatment for ulcerative colitis patients who relapse unde…

PMID: 21195041
Year: 2011
Relationship Type: Treatment Score: 6.1

BACKGROUND: Mesalazine is often used to maintain remission in patients with ulcerative colitis. AIM: To investigate if increasing the dose of mesalaz…

A case of pyoderma gangrenosum with ulcerative colitis treated with mesalazine

PMID: 21165212
Year: 2010
Relationship Type: Treatment Score: 6.1

Pyoderma gangrenosum (PG) manifests as recurrent deep ulceration of the skin and PG is associated with a variety of disorders. Approximately 30% of t…

Mesalazine vanishing time from rectal mucosa following its topical administrati…

PMID: 21122491
Year: 2010
Relationship Type: Treatment Score: 6.1

To investigate how long and how much Mesalazine (M) is available inside the rectal mucosa following its topical instillation, in patients (pts) with …

Best practice in the management of mild-to-moderately active ulcerative colitis…

PMID: 20665988
Year: 2010
Relationship Type: Treatment Score: 6.1

Optimizing treatment goals in ulcerative colitis requires recognizing the needs of patients. It is increasingly recognized that adapting treatment st…

Azathioprine versus mesalazine for prevention of postoperative clinical recurre…

PMID: 20551460
Year: 2010
Relationship Type: Treatment Score: 6.1

OBJECTIVE: The aim of the study was to compare azathioprine versus mesalazine tablets for the prevention of clinical recurrence in patients with post…

Mesalazine-induced multi-organ hypersensitivity

PMID: 20441247
Year: 2010
Relationship Type: Treatment Score: 6.1

Mesalazine therapy for ulcerative colitis has been reported to be effective and safe. Rare cases of mesalazine-induced renal, pancreatic, myo-pericar…

A cost-effectiveness analysis of MMX mesalazine compared with mesalazine in the…

PMID: 20141380
Year: 2010
Relationship Type: Treatment Score: 6.1

OBJECTIVES: To perform a cost-utility analysis of a new formulation of mesalazine (Mezavant XL, MMX mesalazine) versus an existing oral mesalazine (A…

Lab-on-a chip electrochemical sensing platform for simultaneous, ultra-sensitiv…

PMID: 40267767
Year: 2025
Relationship Type: Treatment Score: 5.5

Mesalamine or 5-aminosalicylic acid (5-ASA) and its isomer 4-aminosalicylic acid (4-ASA), well known key therapeutic agents used to treat inflammator…

Mucoadhesive Mesalamine Prodrug Nanoassemblies to Target Intestinal Macrophages…

PMID: 38867457
Year: 2024
Relationship Type: Treatment Score: 5.5

While mesalamine, a 5-aminosalicylic acid (5-ASA), is pivotal in the management of inflammatory bowel disease (IBD) through both step-up and top-down…

Oxidation of Mesalamine under Phenoloxidase- or Peroxidase-like Enzyme Catalysis

PMID: 38138595
Year: 2023
Relationship Type: Mechanism Score: 5.5

Mesalamine, also called 5-ASA (5-aminosalicylic acid), is a largely used anti-inflammatory agent and is a main choice to treat Ulcerative Colitis. Th…

Oral 5-aminosalicylic acid for induction of remission in ulcerative colitis

PMID: 32786164
Year: 2020
Relationship Type: Treatment Score: 5.5

BACKGROUND: Oral 5-aminosalicylic acid (5-ASA) preparations were intended to avoid the adverse effects of sulfasalazine (SASP) while maintaining its …

The culprit of mesalamine intolerance: case series and literature review

PMID: 31366329
Year: 2019
Relationship Type: Treatment Score: 5.5

BACKGROUND: Mesalamine is a first-line drug in the treatment of inflammatory bowel diseases, while its intolerance occasionally occurs in clinical pr…

Effect of Long-Term Mesalamine Therapy on Cancer-Associated Gene Expression in …

PMID: 30478770
Year: 2019
Relationship Type: Treatment Score: 5.5

BACKGROUND: The role of 5-aminosalicylic acid (5-ASA or mesalamine) in the prevention of colorectal cancer in ulcerative colitis (UC) patients was re…

5-ASA induced interstitial nephritis in patients with inflammatory bowel diseas…

PMID: 35488310
Year: 2022
Relationship Type: Treatment Score: 5.5

BACKGROUND: Acute interstitial nephritis (AIN) is an important cause of kidney injury accounting for up to 27% of unexplained renal impairment. In up…

Modelling the benefits of an optimised treatment strategy for 5-ASA in mild-to-…

PMID: 35165124
Year: 2022
Relationship Type: Treatment Score: 5.5

OBJECTIVES: 5-aminosalicylate (mesalazine; 5-ASA) is an established first-line treatment for mild-to-moderate ulcerative colitis (UC). This study aim…

First report of mesalamine (5-aminosalicylic acid) as the causative agent in a …

PMID: 28329471
Year: 2017
Relationship Type: Mechanism Score: 5.3

Acute generalized exanthamous pustulosis (AGEP)is a rare eruption of non-follicular sterile pustuleson a diffuse background of erythema and edema,com…

Antioxidant properties of mesalamine in colitis inhibit phosphoinositide 3-kina…

PMID: 23867870
Year: 2013
Relationship Type: Mechanism Score: 5.1

BACKGROUND: Mesalamine, 5-aminosalicylic acid (5-ASA), is a potent antioxidant and is known to enhance peroxisome proliferator-activated receptor gam…

A random urine test can identify patients at risk of mesalamine non-adherence: …

PMID: 23295279
Year: 2013
Relationship Type: Treatment Score: 5.1

OBJECTIVES: Mesalamine non-adherence is common among patients with ulcerative colitis (UC), and can be difficult to identify in practice. We sought t…

Medication use patterns and predictors of nonpersistence and nonadherence with …

PMID: 23206213
Year: 2012
Relationship Type: Treatment Score: 5.1

BACKGROUND: 5-aminosalicylic acid (5-ASA) is the recommended first-line treatment for active mild-to-moderate ulcerative colitis (UC) and for mainten…

Update on the management of ulcerative colitis: treatment and maintenance appro…

PMID: 22888278
Year: 2012
Relationship Type: Treatment Score: 5.1

Ulcerative colitis (UC) is a chronic inflammatory disease of the colon that typically manifests as diarrhea, abdominal pain, and bloody stool. Compli…

Showing 161-180 of 183 articles